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NPI Code Detail

MEDICARE: MS. SYLVIA ELIZABETH MCMINN PA-C

MEDICARE: MS. SYLVIA ELIZABETH MCMINN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant003413-1NY
2363A00000XPhysician AssistantPA00667TX
3363AM0700XMedical Physician AssistantNMPA20070013NM
4363A00000XPhysician Assistant5672AZ

General Provider Information

NPI Number : 1063631760
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SYLVIA ELIZABETH MCMINN PA-C
Provider Business Mailing Address
First Line : 10710 E BECKER LN
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85259-3873
Country : US
Telephone Number : 928-589-7093
Fax Number :
Provider Business Practice Location Address
First Line : 1201 S 7TH AVE STE 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85007-4076
Country : US
Telephone Number : 623-236-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 07/21/2022

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Directions to “ MS. SYLVIA ELIZABETH MCMINN PA-C” Practice Location

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